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Naam: ____________________ Datum: ____________
1.Makkelijk
Fluconazole is used to treat infections caused by:
AParasites such as malaria
BFungi such as Candida
CGram-negative bacteria
DViruses such as influenza
2.Makkelijk
Why is anti-D immunoglobulin given to an Rh-negative mother?
ATo speed up labour
BTo treat anaemia in the newborn
CTo make her own blood group Rh-positive before the next pregnancy
DTo stop her forming anti-D antibodies against Rh-positive fetal cells
3.Makkelijk
Propofol is mainly used for:
AInducing and maintaining anaesthesia, and ICU sedation
BPain relief after surgery on the ward
CLong-term treatment of epilepsy at home by mouth
DTreating nausea after chemotherapy
4.Gemiddeld
100 mL of an antibiotic is to be given over 30 minutes using a giving set of 20 drops/mL. What is the drip rate?
AAbout 67 drops per minute
BAbout 100 drops per minute
CAbout 33 drops per minute
DAbout 20 drops per minute
5.Gemiddeld
During an oxytocin infusion, contractions become very frequent and the fetal heart rate shows late decelerations. What is the nurse's first action?
APosition the woman flat on her back
BGive a second oxytocin bolus
CIncrease the infusion to finish labour quickly
DStop the oxytocin infusion
6.Gemiddeld
Why is testing for HLA-B*15:02 recommended before carbamazepine in people of some Asian ancestries?
AThis gene variant makes carbamazepine ineffective
BThis gene variant causes carbamazepine to raise blood glucose
CThis gene variant speeds up the kidney excretion of carbamazepine
DIt greatly raises the risk of Stevens–Johnson syndrome
7.Moeilijk
Why is gentamicin often given once daily instead of in several small doses?
AIt has a very long half-life of several days
BIt is absorbed slowly from the muscle over 24 hours
CIts killing depends only on the time the level stays above the MIC
DIts killing depends on high peak levels, with a post-antibiotic effect
8.Moeilijk
A patient taking carbimazole or methimazole (thiamazole) for Graves' disease reports a sore throat and fever. What should the nurse suspect and do?
AHypothyroidism; add levothyroxine at once
BA common cold; advise rest and fluids and continue the drug as usual
CThyroid storm; double the next dose of the drug
DAgranulocytosis; stop the drug and check the white cell count urgently
Antwoordenblad
1. B · Fungi such as Candida
2. D · To stop her forming anti-D antibodies against Rh-positive fetal cells
3. A · Inducing and maintaining anaesthesia, and ICU sedation
4. A · About 67 drops per minute
5. D · Stop the oxytocin infusion
6. D · It greatly raises the risk of Stevens–Johnson syndrome
7. D · Its killing depends on high peak levels, with a post-antibiotic effect
8. D · Agranulocytosis; stop the drug and check the white cell count urgently
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